Definition

Ejaculation occurs when a man reaches sexual climax and semen is ejected from his penis. Premature ejaculation is:

Ejaculation before the man wishes it to occur

Ejaculation too quickly to sexually satisfy his partner

Causes

Many men experience premature ejaculation at one time or another. For example, some men experience it after not having had sex for a long period of time. Premature ejaculation is only a problem when it becomes a persistent condition.

Ejaculation occurs automatically after a certain degree of sexual stimulation. Persistent premature ejaculation usually results from a man's inability to recognize that he is about to ejaculate. This inability prevents him from taking steps to delay the process.

Psychological factors may contribute to premature ejaculation. This may include difficulty in the relationship with a partner, guilt about sex, or fears related to sex.

Squeeze method—same as start and stop method, but includes gently squeezing the base of penis before the 30-second stop period

Sexual positions—trying different sexual positions that may allow greater control over the muscles that cause ejaculation

Psychological Counseling

Counseling may be offered for an individual or for a couple. It is aimed at identifying and treating:

Fears or guilt

Interpersonal problems with your partner that may contribute to the condition

Medication

In some cases, a doctor may prescribe a desensitizing cream. It can be applied to the penis to lessen sexual stimulation.

In other cases, a doctor may prescribe an antidepressant. Some antidepressants have been found to prolong the interval from intromission to ejaculation. However, these drugs do not cure the underlying cause of premature ejaculation.

Prevention

To help reduce your chance of premature ejaculation:

Learn how male and female sexual responses work

Improve communication with your partner before engaging in sexual activity

References:

Premature ejaculation.
American Academy of Family Physicians Family Doctor website. Available at:
http://familydoctor.org/familydoctor/en/diseases-conditions/premature-ejaculation.html. Updated April 2014. Accessed September 25, 2014.

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